Please complete the form and attach any supporting document to submit request for Leave or Approved Absence

Per Employee Handbook Policy 11.5, the Company, in its sole discretion, may grant unpaid personal leaves of absence, for reasons which are not covered by other leave policies, to full-time and part-time employees based on an employee’s work record, the Company’s staffing needs, and the request for leave. Employees are eligible for an unpaid personal leave of absence after one year of employment with SSA.  Review 2017 Employee Handbook Policy 11 and 12 for more information